Our credentialing teams help you increase clean claims by keeping your provider credentials up-to-date and by making sure you have strong payer contracts. Healthcare credentialing protects patients and ensures compliance with federal and state laws. It is the medical practice’s responsibility to verify all provider credentials properly. Clean claims rely on timely and accurate provider credentialing and strong contracts. This is why we offer the following credentialing and contracting services: Our Payer Relations team is well-versed in negotiating with the insurance plans. We communicate effectively with the payers, we advocate on your behalf. Our #1 goal is to make sure you get paid properly for all the care you provide. We know medical practices have many challenges with provider credentialing and keeping records up-to-date. The primary credentialing issues include: We want you to have peace of mind about your billing and cash flow so that you can fully focus on patient care. That is why we work so hard to support you in every area that we can. We use best-in-class credentialing software that houses all the data in one place. Credentialing and contracting can be lengthy processes; we set realistic expectations for timeframes. We provide consistent reports of exactly where we are in the credentialing and contracting processes and what we need from you. Our team members are experts in provider enrollment, obtaining new contracts, and renegotiating existing contracts. We negotiate with payers on your behalf and fight for you to get paid at the best rates we can. This is the most critical aspect of credentialing and contracting; we ensure your data is correct with payers. Always responsive, always on top of it, always helping re-credential and all of the little things, and staying current on Medicare licensure, and private insurance. They offer tips on who to take and who not to take and can give you spreadsheets for you to analyze or you can just flat out ask them: “So is this a good payor?” OR “Which of these insurances pays the worst?” Or “Hey what are we doing wrong here?” They can analyze your reimbursement and let you know how best to find value and eliminate bad payors or things that are causing declines in revenue. They wipe the floor when compared to other billers, especially my last company… atrocious. So if you want a group of professional ladies who are trying to do the right thing, but are aggressive as they should be to make sure your practice flourishes, then you should listen to Christine Romney at Larsen. Credentialing & Contracting that Increases Clean Claims
About Our Credentialing & Contracting Services
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54% of medical practices reported that denials related to provider credentialing increased in 2021.
We know that pain points with provider enrollment issues lead to lost revenue
Benefits of partnering with us
Modio Software
Expectations
Full Transparency
Payer Relations Experts
Better Fee Schedule
Correct Data
They do better than an in-house group of billers that you would have to pay for.
Dr. Robert Frey, MD MBA, Pacific Pain Management Inc in CA
